From small clinic to medical empire

Chapter 9 Today's Mission
[Daily task: Complete 3 cases of resin restoration, reward: dental filling technology +50, hospital construction points +10, experience +50]

Just as he sat down on the chair, Zhang Zifan received a new reminder.

In layman's terms, resin restoration is a resin filling.

Polymer resins, especially 3M series nano-resins are high-quality materials commonly used in caries restoration.

Dental fillings have evolved from amalgam a few decades ago to today. Most patients are beginning to choose resins with more beautiful colors, better biosafety, and excellent mechanical properties to fill their teeth.

Depending on the material selected and the size of the cavity, the price of resin repair is around 200-500 yuan, and some high-end clinics may charge 800 or even more than 1000 yuan.

The task did not specify what kind of resin to use, so domestically produced West Lake brand resin with a lower price is also acceptable. However, in Zhang Zifan's view, it is still very difficult to complete this task today with the current patient flow in the clinic.

In fact, dental restoration is not Zhang Zifan's strong point. He is better at surgery. His oral medicine score is only C+, which is the same as that of Liu Jianming.

Of course, rather than saying that Zhang Zifan is too weak, it is better to say that Liu Jianming is too strong, and the C+ level has already touched the threshold of the level of a doctor in a tertiary hospital.

Moreover, the Department of Stomatology is not only about filling teeth, but also includes the treatment of mucous membrane diseases, tongue diseases, etc. Zhang Zifan thinks that these are definitely better than Liu Jianming, so he is probably not as good as Liu Jianming when it comes to filling teeth.

Compared with other departments, the department of stomatology is actually rather special. In foreign countries, the department of stomatology is generally divided into head and neck surgery and dentistry.

Our country continues the Soviet model, which is collectively called the Department of Stomatology, and the head and neck surgery and alveolar surgery are also called maxillofacial surgery and are under the Department of Stomatology.

Zhang Zifan is a graduate student in maxillofacial surgery at the University. His specialty is handling scalpels, which is actually quite different from what ordinary people think of as a "dentist."

However, the current status of the Department of Stomatology is that more than [-]% of the patients are "dental" patients, so most of Zhang Zifan's work is still dealing with teeth.

Perhaps because Lao Tang, the god of plague, was dizzy after leaving, the number of patients in the clinic unexpectedly increased today. For the first time in Haoran's mouth, there was a "grand occasion" of patients queuing up after two months.

In fact, there are a large number of patients with oral diseases in China, and the departments of major hospitals are overcrowded. As long as small clinics have a good reputation, such "grand occasions" should be the norm.

Zhang Zifan was lucky, the first patient was a child suffering from dental caries, who was slightly obese.

The child's parent is also a fat middle-aged woman, who keeps criticizing the child's "crime".

"Doctor, my son loves candy, and he doesn't listen to what he says. Tell him about him for me, and tell him whether he can still eat candy in the future?"

Zhang Zifan said with a smile: "Actually, the rice we usually eat is also sugar. It is embedded in the gaps between the teeth and is decomposed by saliva and bacteria. It will still corrode the teeth. Therefore, if you want to protect your teeth, the most important thing is to brush your teeth well!"

"Brush, brush, we all brush our teeth twice a day!"

The fat woman nodded again and again, but she still didn't forget to scold, "But my son is lazy, every time he brushes his teeth, he just strokes the water, and it's over in the blink of an eye!"

At this time, the little fat man yelled in dissatisfaction, and exposed his mother: "Doctor, my mother is also very lazy when brushing her teeth. Sometimes she eats snacks after brushing her teeth at night!"

Zhang Zifan looked at the mother and son dumbfoundedly, and introduced: "There is a poster on the correct teeth brushing at the doctor's desk, you can take a look at it later, and if you have any questions, you can also consult our nurse, she will be on the model explained in detail above."

After finishing speaking, Zhang Zifan began to check the little fat man's teeth. His oral hygiene was indeed very bad, and his two sixth-year-old teeth that had just erupted had already been decayed.

"Oh, we thought it was a baby tooth and it would be replaced!"

After learning that the child's caries is the permanent tooth, which will not be replaced for life, the fat woman regrets it.

Zhang Zifan comforted: "Sixth-year-old teeth are the first permanent teeth to erupt. Parents can easily mistake it, but you are still a responsible mother. The child can see a doctor in a timely manner, so there is no big problem."

The fat woman nodded again and again, and said, "If you don't mend a small hole, it's hard to mend a big hole. Doctor, you must mend our children better and use the best materials. It will take a lifetime!"

Hearing what his parents said, Zhang Zifan knew that his mission was fulfilled.

Unexpectedly, this ordinary-looking little fat man contributed two resin repairs at once. Zhang Zifan was overjoyed, but his face was still very serious, and he began to treat him.

After all, it only took more than a year to grow, so the two sixth-year-old teeth were not very deeply decayed, and there was no need for nerve treatment, and the decay could be removed and filled with resin directly.

When grinding away the decay, Zhang Zifan found that he seemed to be particularly easy to concentrate. This may be the effect of the focus halo lv1.

Which is healthy dental tissue, which is decay, doctors usually distinguish by color and texture, obviously there will be a lot of error.

Although there are also special humic dyes, but not to mention troublesome use, the effect may not be able to meet expectations.

But for Zhang Zifan, healthy teeth and decay are marked, which is clear at a glance.

And when he started using the self-aiming bur for tooth grinding, he realized the power of this bur.

Decay is essentially a tooth invaded by bacteria. Naturally, its boundaries cannot be regular lines, but are as tortuous as the coastline.

With the self-aligning bur, Zhang Zifan was able to completely remove the decay and baseless glaze along the decay boundary without harming any healthy teeth.

Don't underestimate the preserved tooth tissue. You must know that under the microscope, there is a gap between the filling material and the tooth, and the tortuous boundary like a coastline can make the two firmly locked together, which is extremely Greatly increase the sealing and prevent secondary caries.

"Mom, it doesn't hurt at all!"

After the treatment was completed, the little fat man smacked his mouth and realized that he had a false alarm, "I used to get my teeth filled in other places and it hurt to death. From now on, I will only look at my teeth here!"

Zhang Zifan smiled. With the help of the self-aiming bur, he hardly hurt the healthy dentin, and the pain of filling the tooth was naturally reduced to the minimum.

"That's Dr. Zhang's skills!" The fat woman also praised repeatedly.

In the past, taking a child to the dentist was like going to war, crying and fussing, and by the time the child had his or her teeth filled, half of her life would have been wasted as a mother.

The most annoying thing is that the tooth fell out again within a few days after the filling. When I asked the doctor, they said that the child was too noisy and affected the treatment.

Thinking about it, the child was trembling with pain, and was afraid to cover his mouth, and refused to cooperate. The doctor has a lot of skills and can only give full play to three points. The fat woman can't blame the doctor entirely if she thinks about it.

Today I saw that my son was very cooperative and even thought he had changed his gender. Unexpectedly, it actually didn’t hurt. Dr. Zhang’s skills are so good!

The fat woman is very satisfied. Although the treatment fee of [-] yuan for two teeth is a bit expensive, Dr. Zhang also promised that the missing fillings will be treated again for free!

what is this?This is faith!
Unexpectedly, I went to a clinic near my house today and found a treasure.

After taking Xiaopang to the doctor's desk to receive Shi Xiaoya's Pap toothbrushing method training, the fat woman left with her butt twisted.

Before leaving, she asked for several brochures of the clinic, saying that she would recommend them to her little sisters.

Seeing the patient's satisfied expression, Zhang Zifan also felt a sense of accomplishment spontaneously.

【Ding!Congratulations, you have completed 2 resin restorations, your filling technique +20]

[Today’s task: Resin repair 2/3]

……

The next patient was a patient with severe periodontitis. The old man was in his early fifties, but one tooth was completely loose.

He had a thick medical record in his hand, as well as X-rays taken in an outer hospital, but even without the X-rays, after examination, Zhang Zifan could conclude that the absorption of his alveolar bone had reached the tip of the root.

Obviously, this uncle has been to many hospitals and clinics, and the answer given by every doctor is the same, that is, all his teeth have no preservation value, and all his teeth need to be extracted and implanted or fitted with dentures.

However, in his opinion, these doctors are just trying to cheat him of money. His teeth are obviously growing in the flesh. Although they are so loose that they can't even eat cakes, they haven't fallen off. Why can't they be repaired? ?
It's not that the doctor's skills are too poor, or that he has evil intentions!

He firmly believes that as long as he keeps changing hospitals, he will be able to find a good doctor with a conscience.

However, miracles are impossible to happen. Zhang Zifan still told him with certainty that the teeth could not be saved and had to be extracted as soon as possible, otherwise the inflammation would infect more alveolar bones and cause them to shrink further, making even dental implants impossible. .

"Another doctor who only knows how to cheat money!"

The patient left cursing, with the same stubborn expression as when he came.

Zhang Zifan could only sigh. There was no grievance in his heart, only helplessness. After all, doctors are not gods, and they do not have the magic to heal bones and the living dead.

In fact, this uncle's severe periodontitis did not happen overnight. He had at least ten years to choose to seek medical treatment to save his teeth, but he chose to procrastinate.

The problem that could have been solved with a few hundred dollars now requires 100 million or 1000 million, and no doctor in the world can help him.

Just when Zhang Zifan was a little disappointed, Liu Jianming, who was also busy until now, ran over with an X-ray film.

"Director Zhang, take a look at this film, it seems something is wrong..."

(End of this chapter)